Looking for Watch with ECG

benm

I wore a medical heart monitor briefly due to some temporary heart anomalies. I would like to have an always-running ECG in a wearable device and now days many premium smartwatches have FDA approved ECGs. I would like someone's advice on what the best experiences is as of 2025 for a smartwatch with ECG (I am in the US). Right now I do not have Google Play Services on my Pixel 9a and I do not have a secondary profile. But medical concerns for me are a higher priority than privacy concerns. I am aware of Gadgetbridge but based on preliminary searching I wasn't able to find an FDA approved ECG watch that Gadgetbridge supports. If installing Google Play Services is the best option, I will do it, but I want to see what is out there first. And I want to make sure that if I do install Play Services that it will actually work, and what I need to do to minimize the privacy hit.

Eirikr70

I have the Withings Scanwatch 2. It has ECG function, but it is on-demand and not always active. It works fine with Google Play, and if I remember correctly also without.

benm

Eirikr70 thank you for the suggestion. I would like it to be always active.

billinmtl

I have a Fitbit Sense 2 that has on demand ECG that runs with a google account and the Fitbit app needs play services to work. I agree with you on the medical side of things and make exceptions for this. My watch helped diagnose a cardiac issue and has been fully supported by local hospitals and medical staff.

On the flip side, the watch also runs google pay directly on the watch and is used for NFC payments

I am not aware of a smart watch that has full time ECG but sounds like something to look into.

Good luck,

benm

The main thing I want is something that can detect and count premature atrial contractions. It does not need to be strictly continuous if it is able to catch these events and other events that may prompt me to seek further medical attention.

billinmtl

https://digitalhealthcentral.com/best-ecg-smartwatch/

The Sense 2 does that and identified when I was in Afib. Check the link I posted as there is also a Garmin and a couple of Samsung for android.

Apple watches are also very good if you are part of that eco-system